[Transesophageal echocardiography in the diagnosis of perioperative ischemia and myocardial infarct].
In 50 patients undergoing direct revascularization of the myocardium, an attempt was made to carry out transesophageal echocardiography. In 5 of them, visualization of the myocardium appeared unsatisfactory, 2 patients were excluded from the investigation in view of the fact that they were operated on in the acute phase of myocardial infarction. Among 43 patients who were entered into the investigation, the areas of abnormal local contractility of the myocardium (AILC) occurred during surgery in 14 (33%). In 3 patients, the newly occurring disorders of local contractility of the myocardium persisted till the end of the operation. In the remaining cases, the presence of the AILC was temporary. The sensitivity of the newly occurring stable AILC in the diagnosis of perioperative myocardial infarction and acute coronary death amounted to 75%, specificity was 100%.
Sukernik
M R
MR
Bil'dinov
O A
OA
Voloshin
E A
EA
Podlesskikh
Iu S
IuS
Beliaev
A A
AA
Shiriaev
A A
AA
Ataullakhanova
D M
DM
Lepilin
M G
MG
Sergakova
L M
LM
Akchurin
G S
GS
D000328:Adult; D000368:Aged; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D003402:Creatine Kinase / Q000097:blood; D004452:Echocardiography / Q000295:instrumentation / Q000379:methods*; D004947:Esophagus; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D009204:Myocardial Revascularization; D011184:Postoperative Period; D014159:Transducers; D016277:Ventricular Function, Left / Q000502:physiology
D003402:Creatine Kinase
Chrespishchevodnaia ékhokardiografiia v diagnostike perioperatsionnoĭ ishemii i infarkta miokarda.